MATHEMATICAL MODELS PREDICTING LEUKOPENIA AND NEUTROPENIA IN PATIENTS WITH CHRONIC HEPATITIS C IN THE BACKGROUND INTERFERONCONTAINING SCHEMES

Currently in the Russian Federation or chronic hepatitis C (CHC) are still relevant Interferon-based regimens. The purpose of this study is to investigate the influence of baseline characteristics and prognosis of the patient HCV genotype 1 for the development  of leukopenia (LP) and neutropenia  (N...

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Main Authors: I. G. Bakulin, N. Kh. Dianova, Yu. G. Sandler, M. Yu. Prostov
Format: Article
Language:Russian
Published: SINAPS LLC 2016-10-01
Series:Архивъ внутренней медицины
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Online Access:https://www.medarhive.ru/jour/article/view/571
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author I. G. Bakulin
N. Kh. Dianova
Yu. G. Sandler
M. Yu. Prostov
author_facet I. G. Bakulin
N. Kh. Dianova
Yu. G. Sandler
M. Yu. Prostov
author_sort I. G. Bakulin
collection DOAJ
description Currently in the Russian Federation or chronic hepatitis C (CHC) are still relevant Interferon-based regimens. The purpose of this study is to investigate the influence of baseline characteristics and prognosis of the patient HCV genotype 1 for the development  of leukopenia (LP) and neutropenia  (NP). We investigated  factors such as sex, age, body mass index (BMI), viral load, genotype  of Interleukin-28 B (IL-28B),  the initial level of leukocytes and neutrophils,  alanine aminotransferase (ALT), fibrosis, duration  of infection, presence  of previous therapy.  Absolute values of leukocytes  and neutrophils  were analyzed on 4, 12, 24, 48 weeks of therapy,  and at 4, 12, 24 weeks after antiviral treatment with protease  inhibitors (PI) 1 and 2 generation. Prognostic criteria were identified, indicating the possible development  of the LP and NP expressed during treatment with interferon: female  gender,  low initial load, TT-genotype of IL-28B, the  initial level of white  blood cells and neutrophils  below 5,7×109/L and 3,4×109/L, respectively. Mathematical  models predicting the onset of LP and NP, formalized in the form of decision trees were also constructed. These models have shown the greatest potential for practical use in view of highest accuracy and reliability.
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spelling doaj-art-1a520b402b5c45d982b2dd139d4b02612025-08-20T03:37:57ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642016-10-0165536210.20514/2226-6704-2016-6-5-53-62549MATHEMATICAL MODELS PREDICTING LEUKOPENIA AND NEUTROPENIA IN PATIENTS WITH CHRONIC HEPATITIS C IN THE BACKGROUND INTERFERONCONTAINING SCHEMESI. G. Bakulin0N. Kh. Dianova1Yu. G. Sandler2M. Yu. Prostov3Moscow Clinical Scientific Center of Moscow Healthcare Department , MoscowMoscow Clinical Scientific Center of Moscow Healthcare Department , MoscowMoscow Clinical Scientific Center of Moscow Healthcare Department , MoscowDistributed Information Systems, Closed Joint Stock Company, MoscowCurrently in the Russian Federation or chronic hepatitis C (CHC) are still relevant Interferon-based regimens. The purpose of this study is to investigate the influence of baseline characteristics and prognosis of the patient HCV genotype 1 for the development  of leukopenia (LP) and neutropenia  (NP). We investigated  factors such as sex, age, body mass index (BMI), viral load, genotype  of Interleukin-28 B (IL-28B),  the initial level of leukocytes and neutrophils,  alanine aminotransferase (ALT), fibrosis, duration  of infection, presence  of previous therapy.  Absolute values of leukocytes  and neutrophils  were analyzed on 4, 12, 24, 48 weeks of therapy,  and at 4, 12, 24 weeks after antiviral treatment with protease  inhibitors (PI) 1 and 2 generation. Prognostic criteria were identified, indicating the possible development  of the LP and NP expressed during treatment with interferon: female  gender,  low initial load, TT-genotype of IL-28B, the  initial level of white  blood cells and neutrophils  below 5,7×109/L and 3,4×109/L, respectively. Mathematical  models predicting the onset of LP and NP, formalized in the form of decision trees were also constructed. These models have shown the greatest potential for practical use in view of highest accuracy and reliability.https://www.medarhive.ru/jour/article/view/571chronic hepatitis cantiviral therapygenotype 1protease inhibitors 1 and 2 generationinterferon-based regimensadverse eventsleukopenianeutropeniaprognosismathematical modelsdecision trees
spellingShingle I. G. Bakulin
N. Kh. Dianova
Yu. G. Sandler
M. Yu. Prostov
MATHEMATICAL MODELS PREDICTING LEUKOPENIA AND NEUTROPENIA IN PATIENTS WITH CHRONIC HEPATITIS C IN THE BACKGROUND INTERFERONCONTAINING SCHEMES
Архивъ внутренней медицины
chronic hepatitis c
antiviral therapy
genotype 1
protease inhibitors 1 and 2 generation
interferon-based regimens
adverse events
leukopenia
neutropenia
prognosis
mathematical models
decision trees
title MATHEMATICAL MODELS PREDICTING LEUKOPENIA AND NEUTROPENIA IN PATIENTS WITH CHRONIC HEPATITIS C IN THE BACKGROUND INTERFERONCONTAINING SCHEMES
title_full MATHEMATICAL MODELS PREDICTING LEUKOPENIA AND NEUTROPENIA IN PATIENTS WITH CHRONIC HEPATITIS C IN THE BACKGROUND INTERFERONCONTAINING SCHEMES
title_fullStr MATHEMATICAL MODELS PREDICTING LEUKOPENIA AND NEUTROPENIA IN PATIENTS WITH CHRONIC HEPATITIS C IN THE BACKGROUND INTERFERONCONTAINING SCHEMES
title_full_unstemmed MATHEMATICAL MODELS PREDICTING LEUKOPENIA AND NEUTROPENIA IN PATIENTS WITH CHRONIC HEPATITIS C IN THE BACKGROUND INTERFERONCONTAINING SCHEMES
title_short MATHEMATICAL MODELS PREDICTING LEUKOPENIA AND NEUTROPENIA IN PATIENTS WITH CHRONIC HEPATITIS C IN THE BACKGROUND INTERFERONCONTAINING SCHEMES
title_sort mathematical models predicting leukopenia and neutropenia in patients with chronic hepatitis c in the background interferoncontaining schemes
topic chronic hepatitis c
antiviral therapy
genotype 1
protease inhibitors 1 and 2 generation
interferon-based regimens
adverse events
leukopenia
neutropenia
prognosis
mathematical models
decision trees
url https://www.medarhive.ru/jour/article/view/571
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